Natural Breast Enlargement You Can Control The Results

Whether you increase your breast size naturally or through breast enlargement surgery, there are some benefits to consider. Now if you are not up for surgery, but still want larger breasts, you may opt for natural breast enlargement pills. An economical and natural alternative to breast enlargement drugs or surgery. Most women prefer the idea of natural breast enlargement pills as opposed to plastic surgery. BRAVA is the first clinically proven approach to breast enlargement that acually grows a woman's natural breast tissue, without surgery, pills or creams. Unlike surgery, with natural breast enlargements you can control the results. If you want to enhance your breasts without the costs and risks of surgery, you should know about natural breast enlargement options.

Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. VesPro's breast enlargement cream is proven to be all natural and safe to use. Studies by groups of researches and scientists have also shown that VesPro's natural breast enlargement cream helps to maintain female hormonal balance.

This remarkable, patent pending, completely natural breast enhancement formula, (commonly referred to as a breast enlargement pill ) works like no other. sold natural breast enlargement pill comfort dryness. Next, try to maintain a healthy, balanced diet while taking a natural breast enlargement pill. There is no one natural breast enlargement formula that works on all women. This helps to balance the hormones naturally, and will help promote breast growth by intensifying the effects of the breast enlargement formula. Herbal breast enlargement works by allowing the body to naturally produce more prostaglandin, thus promoting breast tissue growth.

The effect of these herbs working together is natural breast enlargement, as new tissue growth occurs resulting in fuller, firmer breasts. BRAVA is the first clinically proven approach to breast enlargement that acually grows a woman%u2019s natural breast tissue, without surgery, pills or creams. VesPro's breast enlargement cream is proven to be all natural and safe to use. Join thousands of satisfied customers and experience for yourself the proven benefits of Breast Success - the natural breast enlargement product. Women of all types just like ou are choosing natural breast enlargement pills instead of risky and painful breast augmentation surger.

Most women prefer the idea of natural breast enlargement pills as opposed to plastic surgery. Studies by groups of researches and scientists have also shown that VesPro's natural breast enlargement cream helps to maintain female hormonal balance. VOGUE Breast Enlargement is an all-natural breast augmentation supplement shown safe and effective in gradually enhancing the size and shape of your breasts. My program is the most effective natural breast enlargement system available today. By no less than an advertisement for the Isis all natural breast enlargement system. Then eventually I noticed a better shape developing and a short time after that some definite natural bust breast enlargement.

Vitamin C actually helps to further absorption and utilization of natural breast enlargement preparations (of an herbal nature). Avoiding carbonation can enhance the effects of a natural breast enlargement regimen by not interfering with it's digestion and absorption. There are many alternative, natural breast enlargement options on the market today for you to choose from though. An economical and natural alternative to breast enlargement drugs or surgery. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Have larger, firmer & more shapely breasts in just weeks with this all-natural, scientifically advanced breast enlargement cream. Choose natural breast enlargement to improve ou self esteem today. There is no one-size-fits all approach to natural breast enlargement.

Whether you increase your breast size naturally or through breast enlargement surgery, there are some benefits to consider. I'm here to give you the plain, unadultered truth about natural breast enlargement - good, bad, and ugly! My mission is to reveal to you the truth behind natural breast enlargement - without hype or empty promises. Megabust was formulated as a natural breast enlargement product with added properties of increased sex drive and ability to achieve climax. Our team of experts do the research on breast enlargement products for most comprehensive, natural, affordable & effective breast enlargement. If you are interested in natural breast enlargement, research products carefully. Check out all the options, including natural breast enlargement methods. Unlike surgery, with natural breast enlargements you can control the results. If you want to enhance your breasts without the costs and risks of surgery, you should know about natural breast enlargement options.

It is important to note that natural breast enlargement methods do not show results immediately. Many of these external natural breast enlargement formulas contain caffeine. Users report permanent results from using natural breast enlargement. male breast enlargement breast enlargement texas herbal breast enlargement breast enlargement natural breast enlargement male breast enlargement . "This is the first step in the development of natural breast enlargement," stated Dr. He or she will help you decide if natural breast enlargement or a surgical procedure are right for you. There are even natural breast enlargement products that come in liquid form. You may have read ads regarding natural breast enlargement. These natural breast enhancement/enlargement pills are guaranteed to work! The results might seem like magic, but as you soon discover, natural breast enlargement is based on solid scientific principles.

Don't you do in young boobs black breasts faye valentine breasts, heidi klum breast gallery natural boobs breast enlargement. Look forward to promoting your body's natural breast enlargement process and also to feeling better! (x) Please remember that the subject of the forum is breast enhancement or enlargement, particularly natural or herbal breast enhancement or enlargement. It looked like my only option was natural breast enlargement. Takeing natural breast enlargement pills can creast natural breast enhancement and breasts splendor to admire! Gain self confidence in your appearance with natural breast enlargement. Some natural breast enlargement companies develop the mammary tissues in the breasts. Now if you are not up for surgery, but still want larger breasts, you may opt for natural breast enlargement pills. Doctor's advice on natural breast enlargement. Go there to discuss all matters relating to the popular modern quest for breast enlargement through natural bigger breast pills. http://www.nano-breast-enlargement.com/

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Celebrity Diets

Dying to have those curves you see on magazines? Ever wonder how those divas and stars could keep on rocking their outfit? Yes, the cover pages of the magazines are finally taking their toll on you as you imagine yourself having that sexiness that will totally make heads turn and jaws drop. If you want to be in shape like a particular celebrity, there is no other logical and obvious way but to know what are they eating and doing and try if that works on you. After all, same lifestyle, same nutrition equals same body figure, right? Well, they all have secret diets that you can try so that you may sculpt your figure like you always wanted.

If you envy Beyonce especially in her movie dream girls, try the master cleanser diet. It works for her, it might work for you. More commonly known as the lemonade diet, this is guaranteed to work if you need to lose your weight fast. It requires you to eat nothing and just drink lemonade or diluted maple syrup. However, this diet is the most prone to the yo-yo effect where in you will regain twice as much when you get out of it. This is because your body starves and slows your metabolism critically.

If you want to be as stunning as Jessica Alba, then the south beach diet is the right plan for you. It involves lean meats, low-fat cheeses like parmesan, and a lot of fruits, vegetables and whole grains. This gorgeous knows how to control and give in to cravings at the same time. She is also well disciplined in her eating habits as she only eats half the food on her plate always.

Ellen Degeneres has an interesting celebrity diet to share with us. She is a vegan and has been an animal rights advocate for years. She follows lifestyle food decisions rather than strict diet plans. Also, she prefers a lot of soup, rice, veggies and legumes. Ever wonder why she is so energetic?   She believes that it is because of her consistent exercise, sugar-free intakes and a lot of love from her wife.

Katy Perry has some particular food she opts to eat on her tours. It includes veggie platters, chicken breasts, vitamin water and green tea. Mariah Carey has the strictest zone diet but ultimately includes healthy, non-fattening foods. She even requires her whole entourage to take the same diet.

Well, there you go. The greatest celebrity diets made available for you to keep up that shape. Eat like a star, live like a star and you might just end up looking like one.

More "breast Vitamins" Articles

How To Make Breast Bigger Naturally

Many women ask the question "How can I enhance my breasts" They at this phase in this lifestyles are just not satisfied with the size and order they currently have. Sometimes it is not about getting even better breasts it can also be in regards to improving the shape, so making them fuller. Some women who are older seek to improve their breast to look younger.

There have been many developments in surgical procedures for breast enhancement. In actual fact breast enlargement has the highest demand in plastic surgery procedures. While this procedure could be deemed to be quick and easy it is also necessary to note that it can be expensive. There are also dangers involved. It is rare but some women have died due to unforeseen complications during surgery. How To Make Breast Bigger Naturally

As more and more women are opting for plastic surgery there are also an increasing number of women who are looking for natural ways to improve the size and shape of their breasts. There are many natural options that are far less expensive. However are they as effective? While it is always safer to go natural that does not take away from the fact that you want to achieve your objective. How To Make Breast Bigger Naturally

The fact is that there are natural herbal breast enlargement products that have worked for many women. These have been proven by clinical trials. One thing you always want to make sure of is this - if it does not work you get your money back. Preferably always speak to a human being when ordering these items - this way you can ask direct questions and at least know that there are real people involved. So don't just order supplements online from anywhere without knowing that real people exist.

This way you can be guaranteed you receive service. The worst case scenario for some women has been that after surgery they did not get what they wanted and I am afraid at that point you cannot get your money back. Surgery is also invasive and to me I feel it should always be the last resort. So to start out chose the natural safer route and see what results you get and go from there. Today you can learn how to turn heads naturally when you walk into the room. Start taking actions and work towards your dream figure! Download your How To Make Breast Bigger Naturally ebook now!

Breast enhancing creams, pills and serums are effective in increasing the breast size naturally. Though these days with the development of surgical techniques and methods, breast surgery is no more harmful as it used to be but it is very expensive and still problems like ruptures, scars and bleeding is evident in some cases.

Breast enhancing creams, pills and serums work naturally to increase breast size by promoting production of prostaglandin hormone in the body which consequently promotes growth of breast tissue. This is a natural way of promoting breast size. Estrogens are stimulators of mammary gland, good quality breast enhancing creams, pills and serums contain natural estrogens also known as phytoestrogens which stimulate mammary gland and make the breast fuller and firmer.

The best quality natural breast size increasing creams and pills contain natural herbs which can treat the hormonal problem, under developed breasts and sagging breasts due to age or other reasons. These supplements can alleviate the problem with in weeks and are formulated with natural compounds to make it free of side effects. These pills contain ingredients like blessed thistle which has been used as a hormonal balancer for women since a long time. Fenugreek seeds and fennel seeds extract is a rich source of estrogens or phytoestrogens which promotes hormonal production and release, to stimulate the growth of mammary gland and breast tissue, to increase the size of breast naturally. Don qui a Chinese herb used as a vital ingredient in these pills and creams helps the body in efficiently using the hormones. Kelp is another herb which is a rich source of iodine, this herb helps in improving thyroid gland functions and healthier hormonal balance and also has been found very effective in reducing breast cancer rates.

Saw palmetto is generally considered as an herb more useful for males rather than woman but it is a vital ingredient of pills and creams intended to increase breast size naturally. This herb contains oil which is an effective agent to reduce atrophy of mammary gland due to age, hormonal imbalance or due to other ailments in the body. It eventually helps in maintaining the size and prevents sagging of bust effectively. L-tyrosine is an amino acid which aids and improves adrenal, pituitary and thyroid glands for good over all health and prevents the negative effects of age on the bust size and shape too. This also helps in naturally increasing the size of under developed breast by birth, caused due to malfunctioning of any of these glands.

Damiana leaves and Mexican wild yarn roots are other necessary ingredients of breast size increasing pills, creams and serums which are rich sources of phytochemicals necessary and helpful in improving and developing size of bust. The use of any of these supplements surely helps and save any woman from low self esteem and gives her personality an attractive look making her feel like a complete woman. To aid the effects of these supplements avoid too much consumption of tea and caffeine and try to avoid stress by taking proper sleep and rest. Rich and balanced diet including all the essential vitamins, proteins and minerals is not only good for over all health but also has catalytic effects on the results of these supplements.

Natural Breast Enhancement Review ? Latest Information You Need to Know About ?breast Actives?

The well known “Breast Gain Plus” has now been re-packaged into a complete breast enlargement system branded as “Breast Actives”, comprises the widely known and highly successful “Breast Gain Plus” pills, a breast enhancement cream, and a breast exercises program.

Breast Actives Latest Product Review:

Rating: Excellent

Success Rate: 98%

Doctor Approved: Yes

Prescription: No

Money Back Guarantee:
Breast Actives comes with a 100% money-back guarantee, If you are not totally satisfied, you have the opportunity to refund any unused and unopened item for any reason, within 90 (ninety) days of your purchase.

Ingredients:
All of Breast Actives ingredients are 100% natural and herbal. There is no Ephedra in the products. Furthermore all of these ingredients are listed on the FDA’s GRAS list of safe foods, and none of these herbs come with any health warnings.

Side Effects:
Breast Actives pills and cream made from 100% all-natural ingredients that contain no harmful ingredients. You can rest assured that this supplement and cream are completely free from risky side effects. However, individuals with herbal allergic, existing medical conditions or who are currently taking prescription should first consult with their local physician prior to using any new supplement.

Benefits:

Helps you gain fuller, firmer, and more beautiful breasts

Develops and enlarges your breasts naturally without prescription

Promote even growth of the breasts (if your breasts are uneven)

Formulas contains all natural ingredients

Free 2-month supply currently offered

Reasonably priced

No embarrassing doctor visits

No costly and dangerous surgery

Discreet shipping & billing worldwide

Online breast enhancement exercise program

Manufacturer:
The Breast Actives’ manufacturer and distributors named Ultra Herbal Inc., has been in business for many years and is a trusted name in the herbal industry, producing all-natural products in harmony with the guidelines of the FDA. Ultra Herbal Inc is a member of the Natural Products Association and is dedicated to providing safe and effective products.

Results:
Most women that stick to the recommended dose for at least three months testify a growth of at least one cup size, and also notice a more full and natural shape of their breast. However, each person results can vary according to their body’s metabolism. Once you have attained the bust line you desire, there is no need for continued use. The results are permanent. Over the years, this breast enhancement system has changed the lives of more than 80,000 women worldwide.

Recommendation:
Breast Actives is highly recommended for those who want to stay away from risky silicon implant or breast surgery to increase breast size and appearance. For maximum results it is recommend that you take up these pills for at least 3-5 months. If you are pregnant, nursing, or currently taking any medication, consult with a doctor or physician prior to use. Breast Actives will not interfere in any way with the proper function of any known birth control medications. Do not consume over recommended use.

Cost and Available Packages:
There are your available packages you can choose according to your budget without a prescription as follow:

1-month supply (1 bottle & 1 jar of cream) .95

2-month supply (2 bottles & 2 jars of cream) 9.95 (buy 2 month supply and save)

4-month supply (4 bottles & 4 jars of cream) 9.95 (buy 3 month supply, get 1 FREE)

6-month supply (6 bottles & 6 jars of cream) 9.95 (buy 4 month supply, get 2 FREE)

You can use all major credit card, paypal, and money orders to purchase these packages.

Conclusions:
This herbal breast enhancement system is specially formulated with unique herbs to assist in the enlargement and natural growth of a woman's breasts. This complete breast enhancement system is designed to provide even more effective and faster to enhance the shape, size, and firmness of female breasts. Breast Actives system can give you rounder, fuller, larger, and more beautiful breasts without inserting artificial implants, risks, and costly surgery.

Methods of breast enhancement - advantages and disadvantages

At present ladies are more conscious about the way their bodies look. Not only do they pay attention to their weight, but they are also concerned of the shape and size of their breasts. According to the survey, more females today wish to have bigger breasts. They assume that with breast enlargement they will look more attractive. When asked whether they would choose breast enlargement surgery and breast enhancement alternatives, many answered positively.

Breast enlargement with breast implants improves the overall appearance of the body by putting emphasis on breast size and making the body contour more shapely. Ladies with small breasts at times consider that their body requires balance. Breast enlargement can improve the aesthetics of the body by making the body's profile more curvaceous.

Augmentation mammoplasty can also restore fullness of the breasts that have lost their volume and lift because of pregnancy or ageing. Breast implants can be used to restore breast shape and size after mastectomy or other traumatic surgery. A single breast implant can be used to restore symmetry when the natural size of the breasts is visibly different.

Even though there are a lot of advantages of breast augmentation, including increased self-esteem, a more balanced figure, there are also a number of risks that should be carefully considered before deciding on plastic an operation. Ruptured implants, capsular contracure, and other complications are sometimes observed and may require extra surgery to repair the damage or remove the implants.

Breast enlargement products are developed to help ladies who wish bigger, healthier breasts, but are reluctant to undergo breast enlargement surgery. Natural breast enhancement products â€" herbal remedies, creams, and hormone treatments â€" are sold as painless, less expensive, do-it-yourself options to breast enlargement surgery.

The majority of non-surgical breast enlarging products comprise blends of herbs added to stimulate the mammary glands and improve the growth of new breast tissue by contributing to hormonal balance. Many breast enhancement pills and creams can have adverse side effects. Remember to consult your doctor about the best breast enhancement solution for you.

Although each culture has its own idea of what is erotic and beautiful, in the United States and other western countries, as well as many other parts of the world, a woman's breasts are undoubtedly her most prized physical asset. One need only to turn on a television, go to the movies or flip open a magazine for proof that cleavage and breasts reign supreme in America, Europe and most of Asia.

Unfortunately, a very large number of women are dissatisfied with the size and shape of their breasts. This can be extremely frustrating, particularly because the shape of the breasts can be difficult to alter.

If a woman is unhappy with her legs, she can exercise and change her diet. If she is unhappy with her breasts however, she may feel that her options for changing them are out of her control. However, that is not true - today's women are in a position to take control and enhance both the size and the shape of their breasts.

There are basically two effective options available to women today for enlargement and enhancement of their breasts:

1. Breast Augmentation Surgery

2. Natural, Herbal Breast Enhancement Pills

Other methods, such as massaging with creams or gels and exercises, are not really effective and do not produce significant results by way of enhancement of the breasts.

Breast Enhancement through Surgery

When people think of breast enlargement today, they most often think of surgery. In the 1950s, they may have thought of exercise or push-up bras. In centuries past, they may have thought of herbs like fenugreek and hops flower when thinking of breast enhancement. Today, most women think of implants.

The most common implants these days, of course, are filled with saline. Years ago, implants were usually filled with silicone. Silicone is now considered by most doctors and patients to be too dangerous to use. If a saline implant bursts or leaks, the salt water will be absorbed into the body without great harm.

There are four different surgical options for inserting breast implants:

1. They can be inserted through incisions in the creases underneath the breasts.

2. They can be inserted through the skin in an incision made around the nipple.

3. The surgeon makes an incision near the armpits, and inserts the implants through that.

4. The newest and most expensive technique is endoscopic surgery. In this procedure, an endoscope enables the doctor to insert the implants through a tiny incision in the woman's belly button. That breast implants can be inserted through a woman's navel is amazing, but true.

Problems with Breast Enlargement Surgery

Despite the widespread prevalence of surgery as a means for breast enhancement, there is no denying that the results are often less than satisfactory. Not only do implants frequently leak, necessitating further surgery, but they often just don't look very good. Capsular contracture frequently sets in, squeezing the implant and resulting in a hard, fake-looking breast.

After breast enhancement surgery, some women experience loss of sensation in the nipple and breast areas. Loss of sensation results from damage to nerve endings in the breast and nipple. This loss of sensation may be temporary, but it can also be permanent. The surgical technique used plays a role in this factor.

Another disadvantage of breast augmentation surgery are the very high costs, together with the potential risks of any form of surgery.

Alternative Methods of Breast Enhancement - Natural Herbal Pills

Herbal breast enlargement options are now becoming more widely available, as women seek alternatives to surgery. A variety of natural breast development products can be found on the market, including pills, powder supplements, and creams.

The popular herbal breast enlargement solutions are mostly in pill form, making them both portable and easy to ingest. Women who have tried natural breast enhancements have reported that their breast size has increased by up to two full cup sizes. Although initially met with skepticism, these pills are actually producing some excellent breast enlargement results in women. There is a reason for their increasing in popularity and recognition - they work, and they work well on most women.

The reality is that there thousands of women out there who have successfully enlarged their breasts anywhere from half to two cup sizes (and even more in some cases), by using a breast enhancement pill.

Modern Breast Enlargement Pills

Today's breast enhancement pills use sound science, along with some ancient ingredients, to help enlarge and enhance women's breasts naturally, without side effects. They are much less expensive than surgery, as well as being much safer.

These pills are usually made of non-hormonal plant estrogen, or phytoestrogen. The phytoestrogen activates the prostaglandins in the woman's breasts. Prostaglandins, first discovered in the 1930s by Swedish scientist Ulf von Euler, regulate and communicate with glands. The phytoestrogens encourage breast gland growth, similar to the growth which naturally occurs during puberty.

Herbal breast enhancement can really be an excellent natural, non-surgical option for women desiring breast enlargement. Not only that, the pills can help put some extra padding on women who currently do have implants, to create a more natural look, feel and contour.

If you are one of the several thousands of women worldwide who are unhappy about the size and/or shape of their breasts, today you have a real non-surgical option available – Breast Actives by Breast Gain Plus

~ enhance.ezhealthsolutions.info ~ An all natural herbal supplement formulated to naturally increase the size, shape and firmness of womens breasts. The natural program includes all-natural supplements and an enhancement cream that contains vital nutrients. Scientists have proven that stimulating the estrogen receptors in the breast with complex phytoestrogens, like those found in natural supplement, can actually increase the size of the female breast as much as 150%. Each individual herb found in the supplement is safe and has been in commonly used for centuries. The ingredients are listed on the FDAs GRAS list of safe foods. http FREE 2 Month's Supply! Quanities Limited!! . Safe and Natural Breast Enhancement . Discreet Shipping & Billing Worldwide . No Embarrassing Doctor Visits . Can Enhance Your Breasts Naturally . No dangerous and costly Surgery . Turn heads when you walk in a room

Big and firm breasts have been considered the most important feature in a woman's body for centuries. No other part of a woman’s body is as attractive as her breasts which add to the overall beauty, charm and grace of a woman. Women, who have them, carry it off with pride and turn every head. Many women are embarrassed because they have small breasts. Women, in order to enhance their breasts have tried different methods from surgery to massage. Some of them have been useful, while others have just been a waste of time and money.

Whatever the cause of your dissatisfaction with your breasts, you can enhance them—and your self-esteem—with the natural Breast Actives Program. It’s no secret by now that pumps are little more than expensive ways to have the same breasts you’ve always had. Many women have found surgery gives them bigger breasts, but often with a loss of sensitivity, shape, feel—and money. Dangerous, costly breast-enhancement surgery just isn’t the way for today’s woman to enhance her breasts.

There are many different choices of breast enhancement pills and bust enlargement products for women to choose from today. We have researched and studied many of them and have determined that the most promising and powerful products utilize natural hormone balancing herbs. Upon a deeper investigation into these types of products, we found that the herbs contained in many of these formulas have been revered for thousands of years for their ability to naturally promote breast size and firmness.

A lot of women today prefer the easiest, cheapest and the safest method for breast enhancement and that is Breast Actives Program. The Breast Actives Program is the most powerful and natural breast enhancement program available anywhere in the world. The Breast Actives program is a natural Breast Enhancement Program with exercise techniques, natural supplements and enhancement cream that provide nutrients that you may be missing if you are not eating a balanced diet.

Woman's breasts are rarely balanced. Usually one breast is slightly larger or smaller, higher or lower or shaped differently than the other. The size and characteristics of the nipples are diverse from woman to woman. Some women will have hair on their breasts. Since there are hair follicles around the nipple, hair on the breasts is not scarce. The shape and appearance of the breasts undergo a lot of changes, as a woman gets old. In young women the breast skin stretches and expands as the woman grows. That is why young women have denser breasts than older women.

When you want a fuller, firmer, more beautiful bust line and breast enlargement. Breast Actives Program is a unique all-natural breast enhancement formula which contains a proprietary combination of extracts. These extracts and herbs are traditionally known for their ability to naturally balance female hormones and promote breast size and firmness. You can have larger breasts in a matter of weeks. Most women notice significant growth within 3 months.

Public opinion and recent scientific studies have once again swung the pendulum in favor of breast implants in the United States. After the FDA restricted the use of silicone implants in 1992, plastic surgeons experienced a precipitous drop in the number of breast augmentations they performed. The government's concern at the time were reports that silicone implants were causing generalized symptoms in some women (Rheumatoid arthritis, lupus and other auto immune diseases).

In the years that followed multiple large studies were performed at leading medical centers yielding consistently favorable data. In 1997, the Institute of Medicine independently reviewed this data for the US Congress and found conclusively that there was no evidence that silicone implants were responsible for any major diseases of the body and that these devices did not increase the risk of primary or recurrent breast cancer. Since then, many other studies have solidified these conclusions reassuring the public that silicone and saline implants are indeed safe.

With this increased confidence in implant technology, more women chose to have breast enhancement in the year 2004 than ever before. In fact, the American Society of Plastic Surgeons reported that 254,140 American women underwent the procedure in 2003 compared to 32,607 in 1992. This number continues to rise steadily and Charlotte is no exception. Breast Augmentation has become one of the most commonly performed cosmetic procedures in the US.

Improving breast contours and unevenness may seem trivial and vain at the surface, but the emotional implications are far reaching. The boost in self-confidence that we witness in our patients makes this procedure extremely rewarding. A significant number feel a lack of femininity and have an altered body image similar to our mastectomy patients before their reconstruction. Those that are severely underdeveloped avoid bathing suits and instead wear bulky t-shirts to obscure their flat chests.

Their gratitude after the surgery is unparalleled and they invariably become an important source of referrals to our growing practice. These days, once women have decided to undergo augmentation they are faced with a plethora of options: silicone vs. saline, round shape vs. contoured, smooth surface vs. textured, pre-filled vs. inflatable, under the chest muscle vs. over, in the hospital vs. the office, sedation vs. general anesthesia; not to mention the different size implants and manufacturers available, as well as which incision to use and whether or not other procedures are required. It can become overwhelming?

First, the issue of silicone vs. saline implants. Although the Institute of Medicine unequivocally ruled out the association between silicone gel implants and systemic diseases, local problems with the breasts such as silicone leaking and hardening, while not life-threatening, were concerning to this committee. My personal preference is to use saline implants. These can and do eventually deflate but the salt water used to fill them is completely harmless to the body and gets reabsorbed, making them safer than silicone implants.

Furthermore, unlike saline deflations where the patient soon notices a decrease in size and seeks attention, the ruptured silicone implant can go undetected for years until the breast starts hardening and becomes painful.

The next choice to be considered is smooth vs. textured (rough) surface. My bias has changed in the last decade from mostly textured to mostly smooth implants. Research in the early 90's indicated that textured silicone implants hardened less frequently than smooth ones. It may not be the case for saline implants however. Some studies show a small difference, others no difference.

When it comes to choosing pre-filled (fixed volume set by the manufacturer) or inflatable implants (inserted empty into the breast and then inflated in-situ), I prefer the latter. Using an inflatable prosthesis allows fur a much smaller incision to be made and more flexibility in choosing the final size, especially when the breasts are uneven to begin with.

Placing the implant behind the chest muscle (pectoralis major) or in front is another intensely debated issue. More surgeons, as I do, feel strongly that behind the muscle is better. The major advantages is a lower rate of hardening, better preservation of nipple sensation, improved breast contour (the edges of the implant are obscured by the muscle) and improved visualization on mammogram.

The disadvantages are that there is more pain after the surgery, the breasts look fuller at the top the first month and the implants occasionally "bounce" when the chest muscle is contracted forcefully (as in some body builders). Despite these inconveniences, behind the muscle is definitely the way to go.

Which incision to use for placing the implant, by contrast, is much less important. Excellent results can be obtained with all four approaches: under the fold, in a crease of the armpit, through the areola (nipple) or the belly button. I generally prefer the armpit crease incision as it is a more direct route behind the muscle and leaves no scar on the breast itself Nipple sensation and breast feeding potential remains intact.

The two dominant manufacturers of implants in the US, McGhan and Mentor, are equivalent in most respects. As to the size of the implant, the majority of our patients are conservative: wanting simply to restore fullness after having children or slightly enhancing underdeveloped breasts. The width of the chest, how much breast tissue exists, and what the target cup size is desired, are the major factors in choosing the volume in "cc's" of the implant.

The aesthetic "norm" in the US appears to be a full "c" cup unlike Europe and South America where B/small C is more common. Although not an exact science, the majority of patients are content with their final volume. In our one year post-op survey that patients fill out, 91% of women are happy with their size. 6% would have liked to have gone bigger, and 3% smaller.

Be knowledgeable about the complications that can arise. No surgery is without risks. but these should be minimal.

Finally, take your time to do the research. Don't rush into the surgery. Know that it is safe and ever-more popular, but do it for the right reasons: mainly to feel better about yourself.